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Variables Associated with Attitude Towards Medication and Compliance of Treatment in Outpatients with Stable Schizophrenia

Published online by Cambridge University Press:  16 April 2020

E. Valmisa
Affiliation:
Unidad Gestión Clínica Salud Mental, Hospital Universitario Puerto Real, Puerto Real, Spain
J. Galan
Affiliation:
CNS Area, Medical Department, AstraZeneca Farmaceutica Spain, SA, Madrid, Spain

Abstract

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Introduction

Attitude towards medication has been associated with compliance, but different variables have been associated with them.

Purpose

Assess relationship between attitude towards medication and compliance, and to evaluate variables related to treatment associated with them.

Methods

Non-interventional, multicentre, cross-sectional study. Outpatients with stable schizophrenia (according to clinical criteria) who had the last acute episode at least 2 months before were included.

Results

941 patients recruited were included in the study, 931 patients were included in the statistical analysis.

Mean score on DAI was 4.2 and in its subscales: 1.6 on general attitude 2.8 on subjective effect 2.8. Mean score on compliance (a component of David's scale of insight), with range from 0 to 4, was: 3.0.

There were statistically significant (p < 0.0001) correlations between this subscale of David's insight scale and total DAI score (r = 0.495), with general attitude (r = 0.480) and with subjective effect (r = 0.419).

Variables related to medication with association statistically (p < 0.005) with DAI (total score and both subscales) were: length of treatment with current antipsychotic, number of total adverse events (AEs), moderate AEs, severe AEs, and total severity of adverse events (sum of severity of each one). All of them, except number of severe AEs, had statistically significant relationship (p < 0.05) with compliance.

Conclusion

Variables related to attitude towards medication (DAI total and both subscale) were very similar to those related to compliance (construct of David's insight scale). Adverse events and length of antipsychotic treatment had a clear clinical relevance. Study sponsored by AstraZeneca Spain, S.A.

Type
P03-218
Copyright
Copyright © European Psychiatric Association 2011
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